Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease
Objective. To date, there is still no consensus on the treatment of spinal degenerative disease. Current surgical techniques to manage painful spinal disorders are imperfect. In this paper, we aimed to evaluate the prospective results of posterior transpedicular dynamic stabilization, a novel surgic...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2012/496817 |
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| _version_ | 1832549857312636928 |
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| author | Bilgehan Solmaz Ahmet Levent Aydin Cengiz Gomleksiz Yaprak Ataker Mehdi Sasani Tunc Oktenoglu Ali Fahir Ozer |
| author_facet | Bilgehan Solmaz Ahmet Levent Aydin Cengiz Gomleksiz Yaprak Ataker Mehdi Sasani Tunc Oktenoglu Ali Fahir Ozer |
| author_sort | Bilgehan Solmaz |
| collection | DOAJ |
| description | Objective. To date, there is still no consensus on the treatment of spinal degenerative disease. Current surgical techniques to manage painful spinal disorders are imperfect. In this paper, we aimed to evaluate the prospective results of posterior transpedicular dynamic stabilization, a novel surgical approach that skips the segments that do not produce pain. This technique has been proven biomechanically and radiologically in spinal degenerative diseases. Methods. A prospective study of 18 patients averaging 54.94 years of age with distant spinal segment degenerative disease. Indications consisted of degenerative disc disease (57%), herniated nucleus pulposus (50%), spinal stenosis (14.28%), degenerative spondylolisthesis (14.28%), and foraminal stenosis (7.1%). The Oswestry Low-Back Pain Disability Questionnaire and visual analog scale (VAS) for pain were recorded preoperatively and at the third and twelfth postoperative months. Results. Both the Oswestry and VAS scores showed significant improvement postoperatively (P<0.05). We observed complications in one patient who had spinal epidural hematoma. Conclusion. We recommend skipping posterior transpedicular dynamic stabilization for surgical treatment of distant segment spinal degenerative disease. |
| format | Article |
| id | doaj-art-64326b8bac3943889b0704bfcea716c5 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-64326b8bac3943889b0704bfcea716c52025-02-03T06:08:18ZengWileyAdvances in Orthopedics2090-34642090-34722012-01-01201210.1155/2012/496817496817Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative DiseaseBilgehan Solmaz0Ahmet Levent Aydin1Cengiz Gomleksiz2Yaprak Ataker3Mehdi Sasani4Tunc Oktenoglu5Ali Fahir Ozer6Neurosurgery Department, Medistate Hospital, Istanbul, TurkeyNeurosurgery Department, Istanbul Physical Therapy and Rehabilitation Training Hospital, Istanbul, TurkeyNeurosurgery Department, School of Medicine, Mengücek Gazi Training and Research Hospital, Erzincan University, Erzincan, TurkeyPhysical Therapy and Rehabilitation Department, American Hospital, Istanbul, TurkeyNeurosurgery Department, American Hospital, Istanbul, TurkeyNeurosurgery Department, American Hospital, Istanbul, TurkeyNeurosurgery Department, School of Medicine, Koc University, Istanbul, TurkeyObjective. To date, there is still no consensus on the treatment of spinal degenerative disease. Current surgical techniques to manage painful spinal disorders are imperfect. In this paper, we aimed to evaluate the prospective results of posterior transpedicular dynamic stabilization, a novel surgical approach that skips the segments that do not produce pain. This technique has been proven biomechanically and radiologically in spinal degenerative diseases. Methods. A prospective study of 18 patients averaging 54.94 years of age with distant spinal segment degenerative disease. Indications consisted of degenerative disc disease (57%), herniated nucleus pulposus (50%), spinal stenosis (14.28%), degenerative spondylolisthesis (14.28%), and foraminal stenosis (7.1%). The Oswestry Low-Back Pain Disability Questionnaire and visual analog scale (VAS) for pain were recorded preoperatively and at the third and twelfth postoperative months. Results. Both the Oswestry and VAS scores showed significant improvement postoperatively (P<0.05). We observed complications in one patient who had spinal epidural hematoma. Conclusion. We recommend skipping posterior transpedicular dynamic stabilization for surgical treatment of distant segment spinal degenerative disease.http://dx.doi.org/10.1155/2012/496817 |
| spellingShingle | Bilgehan Solmaz Ahmet Levent Aydin Cengiz Gomleksiz Yaprak Ataker Mehdi Sasani Tunc Oktenoglu Ali Fahir Ozer Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease Advances in Orthopedics |
| title | Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease |
| title_full | Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease |
| title_fullStr | Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease |
| title_full_unstemmed | Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease |
| title_short | Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease |
| title_sort | skipping posterior dynamic transpedicular stabilization for distant segment degenerative disease |
| url | http://dx.doi.org/10.1155/2012/496817 |
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